Rheumatology Management NICE

Question 1

First line drugs for rheumatoid arthritis

Answer 1

Methotrexate, leflunomide or sulfasalazine

Question 2

When can you consider hydroxycholorquine for first line RA management?

Answer 2

If mild or palindromic RA

Question 3

What can you use as bridging therapy when starting a DMARD?

Answer 3

Steroids

Question 4

What to do if first line management fails (after dose escalation)?

Answer 4

Add additional DMARDs

Question 5

Initial management of lupus (no nice guidance, EULAR)

Answer 5

Hydroxycholorquine and steroids

Question 6

Management of refractory lupus

Answer 6

DMARDs (azathioprine in pregnancy)

Question 7

What biologic is best for lupus?

Answer 7

B cell inhibitor (belimumab)

Question 8

First line management for psoriatic arthritis? (not nice guidance, EULAR)

Answer 8

NSAIDs and steroids

Question 9

Management for psoriatic arthritis not controlled by first line treatments?

Answer 9

DMARDs

Question 10

Management of psoriatic arthritis not controlled by DMARDs?

Answer 10

Biologics